TX
Texas House Bill HB3937

Texas 2019 - 86th Regular

Texas House Bill HB3937

Caption

Relating to a report regarding Medicaid reimbursement rates and access to care.

Impact

The findings of the commission, to be reported by December 1, 2020, are set to inform legislative discussions and potential revisions to Medicaid policies and funding. The report is expected to highlight regional disparities in access to Medicaid-funded care, thereby providing law-makers with data necessary for making informed decisions on legislative adjustments that could better align reimbursement rates with provider capabilities and patient needs. This could potentially open pathways for increasing provider participation, thereby improving access to care for Medicaid recipients across Texas.

Summary

House Bill 3937 aims to enhance transparency and evaluation of the Medicaid reimbursement rates and the access to care within the Medicaid program in Texas. The bill mandates the Health and Human Services Commission to compile a comprehensive report that investigates various elements influencing the reimbursement methodologies utilized by Medicaid managed care organizations. It requires an analysis of the current reimbursement framework, the implications of previously established rates, and uncontested care costs, along with comparing provider involvement across different regions and specialties.

Contention

Debate surrounding HB3937 may arise from differing opinions on the methods of determining fair provider compensation and the evaluation of access to care standards. Some stakeholders may argue that the proposed changes might not adequately address the core issues leading to reduced provider participation, particularly in counties experiencing shortages. Critics may also be concerned about the feasibility and cost of implementing a minimum fee schedule, especially in regions with lower Medicaid populations, further instigating discussions on general Medicaid reform and provider incentives.

Companion Bills

TX SB2040

Same As Relating to a report regarding Medicaid reimbursement rates and access to care.

Previously Filed As

TX HB1378

Relating to a report regarding Medicaid reimbursement rates, supplemental payment amounts, and access to care.

TX HB1293

Relating to the reimbursement of prescription drugs under Medicaid and the child health plan program.

TX HB3725

Relating to Medicaid coverage and reimbursement for doula services and reports on the provision of those services.

TX HB3394

Relating to Medicaid coverage and reimbursement for doula services and reports on the provision of those services.

TX HB4611

Relating to the nonsubstantive revision of the health and human services laws governing the Health and Human Services Commission, Medicaid, and other social services.

TX SB1239

Relating to reimbursement rates for eye health care services providers participating in the Medicaid managed care program.

TX HB3778

Relating to reimbursement rates for eye health care services providers participating in the Medicaid managed care program.

TX HB1283

Relating to prescription drug formularies applicable to the Medicaid managed care program.

TX SB1113

Relating to prescription drug formularies applicable to the Medicaid managed care program.

TX HB1701

Relating to administrative and judicial review of certain Medicaid reimbursement disputes; authorizing a fee.

Similar Bills

UT SB0257

Medicaid Accounts Amendments

UT HB0247

Child Health Care Coverage Amendments

AR SB518

To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act; And To Update Language And Definitions To Reflect Changes Within The Healthcare System;.

AR SB515

To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act.

UT HB0463

Medicaid Funding Amendments

NJ A3334

Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.

NJ S2416

Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.

NJ S3495

Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.